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Registration form

        NYS-Specific Exam Review Workshop • October 1-2, 2021                                  A bout the pr esenter:
                                                                                               About the presenter:
                                                                                               Dr. Joseph  V.R. Paiva, is
        Register ONLINE now at www.nysapls.org OR complete this form today.                    Dr . J oseph   V .R. P aiv a, is
                                                                                               principal
                                                                                                       and
                                                                                               principal  and  CEO  at at
                                                                                                            CEO
        NAME: _________________________________________________________                        G eoLear n, LL C (www .geo-
                                                                                               GeoLearn, LLC (www.geo-
                                                                                                 n.com) which is an online
                                                                                               learn.com) which is an online
                                                                                               lear
        ADDRESS: ______________________________________________________                        provider  of  professional  and
                                                                                                     of
                                                                                                 vider
                                                                                                        pr
                                                                                                         ofessional
                                                                                                o
                                                                                                                 and
                                                                                               pr
                                                                                     technical education since F
                                                                                                                   e
                                                                                     technical education since February 2014. He
                                                                                                         uar
                                                                                                       ebr
                                                                                                            y 2014. H
        CITY: ___________________________STATE: __________ ZIP: ___________          previously served as a consultant in the field of
                                                                                     pr
                                                                                              v
                                                                                               ed as a consultant in the field of
                                                                                       eviously ser
                                                                                     geomatics and general business, particularly to
        WORK #: (____)__________________    FAX #: (____)___________________         geomatics and gener al business, par ticular ly to
                                                                                     inter national dev elopers, manufactur ers and
                                                                                     international developers, manufacturers and
                                                                                     distributors  of  instrumentation  and  other
        HOME #: (____)__________________    E-MAIL:  ______________________          distributors   of   instr umentation   and   other
                                                                                     geomatics tools. I n that r ole J oe functioned as
                                                                                     geomatics tools. In that role Joe functioned as
                                                                                                atewing NV
                                                                                                         , a B
                                                                                      OO at G
                                                                                                               elgian
                                                                                     C
         Members                                                                     COO at Gatewing NV, a Belgian
                                                                                             er of unmanned aerial systems
                                                                                     manufacturer of unmanned aerial systems
                                                                                     manufactur
         By September 10 th                 After September 10 th                    (UAS) for surveying and mapping during
                                                                                     (U
                                                                                               v
                                                                                       AS) for sur
                                                                                                eying and mapping during
           1st Time Attendee $299            1st Time Attendee $349                2010-2011. H e also is a writer in many
                                                                                     2010-2011. He also is a writer in many
                                                                                     magazines and journals and has been on the
           Repeat Attendee $249              Repeat Attendee $299                  magazines and jour nals and has been on the
                                                                                                       ering
                                                                                      seminar cir
                                                                                               cuit,
                                                                                                 ” deliv
                                                                                                            continuing
                                                                                     “
         Non-Members                                                                 “seminar circuit,” delivering  continuing
                                                                                                                ell as
                                                                                     education to geospatial professionals, as well as
                                                                                     education to geospatial pr
                                                                                                      ofessionals, as w
         By September 10 th                 After September 10 th                    technician and exam preparation courses. Joe
                                                                                             and exam
                                                                                                                  oe
                                                                                                        ation courses. J
                                                                                                     epar
                                                                                                    pr
                                                                                     technician
                                                                                     was previously managing director of Spatial
           1st Time Attendee $399            1st Time Attendee $449                was pr eviously managing dir ector of S patial
                                                                                     Data Research, Inc., a GIS data collection,
           Repeat Attendee $349              Repeat Attendee $399                  D ata R esear ch, I nc., a GIS data collection,
                                                                                                             elopment
                                                                                     compilation and softwar
                                                                                     compilation and software development
                                                                                                        e dev
                                                                                     company; senior scientist and technical
        Payment Method:                                                              company; senior scientist and technical
                                                                                                       v
                                                                                                               ch &
                                                                                                            esear
                                                                                                        ey r
                                                                                                      ur
                                                                                     advisor for Land S
                                                                                     advisor for Land Survey research &
         Check or Money Order Enclosed (make payable to NYSAPLS)                    development, VP of the Land Survey group,
                                                                                               VP of the Land S
                                                                                                           ur
                                                                                                                oup,
                                                                                                            v
                                                                                        elopment,
                                                                                                             ey gr
                                                                                     dev
                                                                                     and director of business development for the
                                                                                     and dir
                                                                                                        elopment for the
                                                                                          ector of business dev
         Please charge my    VISA    MASTERCARD    AMEX    DISCOVER             Engineering  and  Construction  Division  of
                                                                                                      uction
                                                                                                                  of
                                                                                     E
                                                                                              and
                                                                                                  Constr
                                                                                      ngineering
                                                                                                           Division
                                                                                     Trimble; vice president and a founder of
        Acct #: __________________________________________________________           T rimble; vice pr esident and a founder of
                                                                                     Sokkia Technology, Inc., guiding development
                                                                                     Sokkia  T echnolog y , I nc., guiding dev elopment
                                                                                     of GPS- and software-based products for
        Exp. Date: ___/___ Verification Code: __________                             of GPS- and softwar e-based pr oducts for
                                                                                     surveying, mapping, measurement and
                                                                                     sur v eying, mapping, measur ement and
                                                                                     positioning. Other positions include senior
        Signature:  _______________________________________________________          positioning. O ther positions include senior
                                                                                     technical
                                                                                                     positions
                                                                                            management
                                                                                                                 ietz
                                                                                     technical management positions in The Lietz
                                                                                                           in The L
                                                                                     Co. and Sokkia Co. Ltd., assistant professor of
        Billing Address:  ___________________________________________________        Co . and Sokkia Co . Ltd., assistant pr ofessor of
                                                                                     civil engineering at the University of Missouri-
                                                                                     civil engineering at the U niv ersity of M issouri-
        Name as it appears on card: __________________________________________       Columbia, and par tner in a sur v eying/civil
                                                                                     Columbia, and partner in a surveying/civil
                                                                                     engineering consulting firm. He has continued
        Return this form along with payment to:                                      engineering consulting fir m. H e has continued
                                                                                     his interest in teaching by serving as an
                                                                                           est in teaching b
        NYSAPLS, 146 Washington Ave., Albany, NY 12210                               his inter instr uctor  of  online  y ser ving as an
                                                                                                          edit
                                                                                                         cr
                                                                                     adjunct instructor of online credit and non-
                                                                                     adjunct
                                                                                                             and
                                                                                                                non-
        Questions?Please call, (518) 432-4046, fax (518) 432-4055 Or email, info@nysapls.org  cr edit courses at the M issouri U niv ersity of

                                                                                     credit courses at the Missouri University of
                                                                                     Science and Technology. His key contributions
        NEW! Option to Protect Your Registration*                                    Science and  T echnolog y . H is key contributions
                                                                                     in the development field are: design of software
        We now offer cancellation insurance through Allianz Global Assistance, a third party provider.   in the dev elopment field ar e: design of softwar e
                                                                                     flow for the SDR2, SDR20 series and SDR33
        The insurance is ONLY available by registering for this event on our website with a credit card   flo w for the SDR2, SDR20 series and SDR33
                                                                                     Electronic Field Books and software interface
        payment. Register online at www.nysapls.org for more details.                E lectr onic F ield Books and softwar e inter face
                                                                                     for the Trimble TTS500 total station. He is a
                                                                                     for the  T rimble  T TS500  total station. H e is a
                                                                                              Professional
                                                                                                        E
                                                                                                                 and
                                                                                     Registered
                                                                                                         ngineer
        NYSAPLS Cancellation Policy                                                  R egister ed  P r ofessional  Engineer  and
                                                                                                     v
                                                                                                      ey
                                                                                                        ,
                                                                                       ofessional
                                                                                      r
                                                                                                   S
                                                                                     P
                                                                                              Land
                                                                                                    ur
                                                                                                          is an A
                                                                                                       or
                                                                                                                CSM
        Payment must be made in full upon registration. Purchase orders not accepted. Cancellations   Professional  Land  Surveyor,  is an ACSM
                                                                                     r
                                                                                                       editing Boar
                                                                                                    A
                                                                                                                d for
                                                                                              e to the
                                                                                                     ccr
                                                                                      epr
                                                                                        esentativ
        submitted in writing 30 days or more prior to the event, will be granted a 100% refund, less a 10%   representative to the  Accrediting Board for
                                                                                                                ving
                                                                                                 T
                                                                                                  echnolog
                                                                                     Engineering and Technology (ABET), serving
                                                                                                       y (ABET), ser
        processing fee. After the 30 day window, I understand that my event ticket purchase is intended to   E ngineering and  aluator , wher e he pr eviously
                                                                                     as a program evaluator, where he previously
                                                                                            am ev
                                                                                     as a pr
                                                                                          ogr
        hold my reservation. Therefore, 0-29 days prior to the event, registration fees are non-refundable   ser v ed as team chair , and commissioner , and
                                                                                     served as team chair, and commissioner, and
        unless I obtain the cancellation insurance provided by Allianz Global Assistance, a third party   has mor e than 30 y ears experience wor king in
                                                                                     has more than 30 years experience working in
        provider, during online checkout. Register online at www.nysapls.org for more details.   civil engineering, sur v eying and mapping. H e
                                                                                     civil engineering, surveying and mapping. He
                                                                                     writes for POB and The Empire State
        In accordance with Title III of the Americans with Disabilities Act, we invite all registrants to   writes for POB and The E mpir e S tate
                                                                                        ey
                                                                                          or magazines and has been a past
                                                                                        v
                                                                                     S
                                                                                     Surveyor magazines and has been a past
                                                                                      ur
        advise us of any disability and any requests for accommodations to that disability. If you have any   contributor of columns to C ivil E ngineering
                                                                                     contributor of columns to Civil Engineering
        questions, please call the NYSAPLS office at 518-432-4046.                   News.
                                                                                     N
                                                                                       ews.
        By submitting this form, I acknowledge the cancellation policy above and understand I do not   Dr . P aiv a can be r eached at joepaiv a@
                                                                                     Dr. Paiva can be reached at joepaiva@
        have an option to obtain cancellation insurance.                             geo-learn.com or on Skype at joseph_paiva.
                                                                                          n.com or on S
                                                                                     geo-lear
                                                                                                                a.
                                                                                                    kype at joseph_paiv
        *Signature: _______________________________________________________________
                                       EMPIRE STATE SURVEYOR / VOL. 57 • NO 5/ 2021 • SEPTEMBER/OCTOBER   23
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